Jan. 30, 2026

No Implants, No Bra, No Problem: The Triple Bra Breast Lift Explained [Austin Hayes, MD, Portland]

Breast implants aren’t for everyone. 

Portland plastic surgeon Dr. Austin Hayes shares how his triple bra breast lift technique uses natural internal support to create a beautiful breast shape so results look fuller and last longer than a typical lift.

Read more about Portland plastic surgeon Dr. Austin Hayes

Follow Dr. Hayes on Instagram @draustinhayes

To learn more about Dr. Austin Hayes, listen to his episode of Meet The Doctor

Where Before Meets After brings credible, accurate information about plastic surgery, aesthetic procedures and treatments to the researching audience from trusted plastic surgeons and aesthetic professionals.

For more information about being a guest or sponsor of Where Before Meets After, visit wherebeforemeetsafter.com. If you're a doctor or an aesthetic professional and have ever thought about doing your own podcast, you can try podcasting for free on our Meet the Doctor podcast. Schedule your recording session at meetthedoctorpodcast.com.

Where Before Meets After is a production of The Axis


WEBVTT

1
00:00:00.200 --> 00:00:04.320
You're listening to where before meets after? What about women

2
00:00:04.440 --> 00:00:08.160
who want their breast to look better but they absolutely

3
00:00:08.199 --> 00:00:10.199
don't want implants? Are they finding you?

4
00:00:10.599 --> 00:00:12.800
One of the things about a breastleft that's most important

5
00:00:12.839 --> 00:00:15.679
for people to know is that a breastleft obviously lifts

6
00:00:15.720 --> 00:00:18.399
the breast, takes a nipple that's lower, puts it into

7
00:00:18.440 --> 00:00:20.719
the center of the breast, and then removes the extra skin.

8
00:00:21.120 --> 00:00:22.960
And I think the key thing for people to know

9
00:00:23.120 --> 00:00:25.519
is that it never looks like an implant. It doesn't

10
00:00:25.559 --> 00:00:28.079
create the roundness of an implant. But that's not to

11
00:00:28.079 --> 00:00:30.760
say that an implant looks best. So it's whatever somebody's

12
00:00:30.760 --> 00:00:32.759
taste is. If they have the taste that they like

13
00:00:33.200 --> 00:00:37.439
a rounder, more full upper look, great, that's probably an

14
00:00:37.479 --> 00:00:40.719
implant with their BREASTLFT. But many people don't want that

15
00:00:41.000 --> 00:00:43.840
for one reason or another. And I tell people, I

16
00:00:43.880 --> 00:00:46.799
think a beautiful breast that has a beautiful shape, I

17
00:00:46.799 --> 00:00:49.399
don't care. This is my own opinion, So I don't

18
00:00:49.399 --> 00:00:52.439
care what size that breast is. It's beautiful. It could

19
00:00:52.479 --> 00:00:57.799
be ABCD, whatever. So as long as they understand what

20
00:00:57.840 --> 00:01:01.240
a breastleft truly looks like, then then that of course

21
00:01:01.240 --> 00:01:04.159
that's what I offer, and so I came up with

22
00:01:04.200 --> 00:01:06.719
a way of And again I can't speak for every surgeon.

23
00:01:06.719 --> 00:01:08.719
I'm not trying to speak for any other surgeons other

24
00:01:08.760 --> 00:01:12.079
than myself, but many breastlifts are lifted only by the skin,

25
00:01:12.200 --> 00:01:14.319
So the nipple is moved up, the breast tissue is

26
00:01:14.400 --> 00:01:16.879
just kind of pushed up, and then the skin is tightened.

27
00:01:16.879 --> 00:01:19.200
But the skin, if the skin could hold a breast,

28
00:01:19.480 --> 00:01:21.319
they wouldn't need a breastlft, you know, there would be

29
00:01:21.359 --> 00:01:23.799
no sagging. And so I don't think it works very well.

30
00:01:24.200 --> 00:01:26.560
It's kind of been a seven year journey of figuring

31
00:01:26.560 --> 00:01:28.760
out how to support the bottom of the breast, and

32
00:01:28.799 --> 00:01:30.879
so I figured out a way that works for me

33
00:01:31.079 --> 00:01:34.280
to kind of create essentially three call it a triple bra.

34
00:01:34.359 --> 00:01:37.719
The name's pretty names, not very inventive, but essentially I

35
00:01:37.760 --> 00:01:42.840
have three natural layers of tissue that I've one learned

36
00:01:42.879 --> 00:01:45.640
from somebody. But then the two additionals created or came

37
00:01:45.719 --> 00:01:47.680
up with a way to support the bottom of the breast,

38
00:01:47.680 --> 00:01:50.000
and so the breast looks more braless, it looks more

39
00:01:50.040 --> 00:01:53.239
full compared to a typical breastlift. Many times when I

40
00:01:53.280 --> 00:01:56.239
show an after of a breastlift. People wonder if there's

41
00:01:56.239 --> 00:01:58.680
an implant there, when in fact there's not, but it's

42
00:01:58.760 --> 00:02:01.319
just the extra support them my breastlifts have and so

43
00:02:01.359 --> 00:02:04.200
people are beginning to find to find me for this

44
00:02:04.280 --> 00:02:06.079
operation specifically.

45
00:02:05.760 --> 00:02:08.280
Does anyone else do this kind of breastlift that you're

46
00:02:08.319 --> 00:02:08.759
aware of?

47
00:02:09.400 --> 00:02:12.319
So there's a plastic surgeon in Sydney named Michael Maraschnik

48
00:02:12.439 --> 00:02:15.120
who I don't know how I stumbled across him. I

49
00:02:15.120 --> 00:02:19.479
think it must have been Instagram, but he talked about

50
00:02:19.840 --> 00:02:22.560
how he likes to secure the fold. So I think

51
00:02:22.599 --> 00:02:25.319
that there are probably many surgeons that secure the fold,

52
00:02:25.840 --> 00:02:28.680
and what I specifically came up with, I've never seen

53
00:02:28.719 --> 00:02:30.919
it written about, so do my knowledge, No, I'm the

54
00:02:30.960 --> 00:02:33.039
only one that does that, but there are a lot

55
00:02:33.039 --> 00:02:36.560
of plastic surgeons that are I think probably presumably all

56
00:02:36.639 --> 00:02:41.159
plastic surgeons who care about breastlift know what it looks

57
00:02:41.280 --> 00:02:43.560
like when you're done with the surgery, what it looks

58
00:02:43.599 --> 00:02:46.639
like very early, and then what it looks like truly,

59
00:02:46.919 --> 00:02:50.560
meaning three six months later, the breast tissue falls out

60
00:02:50.560 --> 00:02:53.120
of the bottom of the fold, the scar rides up,

61
00:02:53.560 --> 00:02:56.879
the breast slides down, the torso volume is lost from

62
00:02:56.879 --> 00:02:58.800
the cleavage volume is lost from the top, so we

63
00:02:58.879 --> 00:03:01.599
have a look that is counter to what we're trying

64
00:03:01.599 --> 00:03:04.360
to achieve. For me, I solve that problem with the

65
00:03:04.360 --> 00:03:06.879
double bra and the triple bra, but other surgeons are

66
00:03:06.879 --> 00:03:10.280
solving that problem with mesh. So they're using mesh to

67
00:03:11.000 --> 00:03:14.960
support the breast tissues so that I've just seen a

68
00:03:15.000 --> 00:03:17.599
couple videos and some drawings, but essentially what they're doing

69
00:03:17.639 --> 00:03:19.879
is creating a hammock out of mesh that their breast

70
00:03:19.919 --> 00:03:23.159
issue can't fall against the fold. I don't have anywhere

71
00:03:23.159 --> 00:03:25.120
to put mesh, don't. I love mesh. I use it

72
00:03:25.159 --> 00:03:28.479
for augmentation all the time, but in my implant or

73
00:03:28.520 --> 00:03:30.400
in my lifts, I don't need it. I don't have

74
00:03:30.439 --> 00:03:33.240
anywhere to put it because I know the breast tissue

75
00:03:33.319 --> 00:03:35.560
is going to fall, but my support comes from natural

76
00:03:35.560 --> 00:03:38.080
tissue instead of from a mesh barrier.

77
00:03:39.840 --> 00:03:43.719
Thanks for listening. I'm your host, Eva Shay. Follow the

78
00:03:43.719 --> 00:03:47.000
show and submit questions for our experts at Wherebefore meets

79
00:03:47.039 --> 00:03:50.759
After dot com. Where Before meets After is a production

80
00:03:50.879 --> 00:03:51.800
of the axis

Austin Hayes, MD Profile Photo

Plastic Surgeon in Portland, Oregon

Dr. Austin Hayes believes specializing allows him to focus on small innovations that make a big difference for his patients.

From college in Oregon, to medical school at Columbia University in New York City, to training in Washington, Baltimore, Seattle, and Philadelphia before returning to his hometown of Portland to begin his cosmetic practice, Dr. Hayes had a diverse set of experiences during his education and training.

Once patients know what they want, Dr. Hayes loves walking them through how to achieve their goals. He doesn’t believe in talking them into anything they aren’t interested in, and rather spends consultations educating and getting to the root of what their specific concerns and goals are.